International Journal of STD & AIDS > Volume 19, Number 7 > Pp. 493-495

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Case reports

Acne vulgaris and acne rosacea as part of immune reconstitution disease in HIV-1 infected patients starting antiretroviral therapy

Christopher Scott MRCP , Richard C D Staughton MA MRCP, Christopher J Bunker MD MRCP and David Asboe FRCP

Chelsea and Westminster Hospital, London, UK

Correspondence to: Dr Christopher Scott, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK Email: christopher.scott{at}chelwest.nhs.uk

Immune reconstitution disease (IRD) has been widely reported following the commencement of antiretrovirals. We report a case series from a cohort of HIV-1-infected patients of whom four developed acne vulgaris and one developed acne rosacea after the initiation of antiretroviral therapy. Acne vulgaris, as part of IRD, has been reported only once in the literature, whereas acne rosacea has not, to our knowledge, previously been described. This serves as a reminder not to overlook dermatological manifestations of disease in patients with HIV infection after starting antiretrovirals.

Key Words: acne rosacea • acne vulgaris • HIV • immune reconstitution disease

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